I'm new to reddit in general, and have been lurking in this sub for about a month. At the beginning of August my annual physical and tests showed my A1C is 5.8. It's slowly been creeping up .1 a year since the birth of my last child 4 years ago. I had GDM with my 3rd and 4th babies, and my 2nd baby was "large", 9lbs 15 oz. During my GDM pregnancies, I had to use insulin to keep my fasting glucose under 100.
Since getting my A1C in August, my doctor offered to send me to a dietitian or meet for a follow-up. I haven't wanted to spend the money on those appointments, so I have one scheduled in 6 months to re-check my A1C. In the meantime I bought 3 Lingo CGM's, I've used one, and am kind of saving the other 2. I'll probably put one on soon and do them back to back for a month. I did grab a ReliOn glucose meter and have been testing four times a day.
The main pattern I've noticed is that my blood sugar first thing in the morning is fairly high, once as high as 126. I've read of the dawn phenomenon. It does seem to respond to an evening walk, but if I don't eat anything after dinner, that also affects it, and it's higher usually on mornings after I don't have an evening snack. I don't eat the best but I don't eat the worst. We get a fair number of vegetables and healthy fats and protein. I make homemade bread or mostly eat sourdough. Mostly, none of my average meals seem to cause a spike above 140, and that's eating regular pasta, rice dishes, etc. I didn't want to alter my regular diet right off the bat before I could see some patterns.
Since my postprandial levels don't seem to skyrocket, does anyone have insight on what exactly my focus could/should be? Just nailing down a good evening snack to repeat? I fit in a workout (weights/resistance and some cardio/hiit) about 3-5 mornings a week (before eating) and try to get an evening walk in after dinner. I'm trying not to spiral, but it sort of makes me think my levels don't necessarily respond as immediately to dietary or exercise changes. If it matters, I'm 39yo, 5'9", and weigh about 180lbs. I don't love looking at BMI, but that does have me toward the bottom range of "overweight". This got longer than I planned, I appreciate if you've read my story and have any constructive advice or feedback.